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CORRESPONDENCE SECTION |
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| Year : 2001 | Volume
: 17
| Issue : 2 | Page : 193 |
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Testicular torsion on a giant wheel
K Natarajan, Ranjit Shetty, Joseph Thomas
Department of Urology, Kasturba Medical College, Manipal, Karnataka - 576 119, India
Correspondence Address:
K Natarajan
Department of Urology, Kasturba Medical College, Manipal, Karnataka - 576 119
India
 Source of Support: None, Conflict of Interest: None  | Check |
Keywords: Testicular Torsion; Giant Wheel
How to cite this article:
Natarajan K, Shetty R, Thomas J. Testicular torsion on a giant wheel. Indian J Urol 2001;17:193 |
A 16-year-old male studying in 10th standard went on a school excursion to a fun fair, where he had gone on a giant wheel. When he was on the top of the giant wheel, he felt a dragging type of pain over the left testis. After getting out of the giant wheel the pain increased and got worsened the same evening. The patient kept this and did not inform his parents. Swelling over the left scrotum increased over the next two days with fever. Hence parents came to know about it.
Four days following the incidence patient presented to Kasturba Hospital, Manipal. On examination, left side scrotum was enlarged, shiny, edematous and it was tender to touch. Emergency exploration of the left side of scrotum was carried out. The testis was found to be gangrenous with one complete rotation of cord structure [Figure 1], hence left orchidectomy done. Exploration was carried out on the right side. Right testis was found to be normal. Orchidopexy was done on the right side.
Any sudden rotational movement increases the risk of testicular torsion. This includes walking. turning during sleep, intense sexual intercourse, activities like cycling, swimming, parachuting and ice-skating. [1]
Any unexplained acute testicular pain in a young adult has to be evaluated in detail and if any doubt should be explored to prevent testicular loss. This is the first reported incidence of torsion testis following a giant wheel ride.
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| 1. | Noske H. Kraus SW. Altinkilic BM. Weidner W. Historical milestones regarding torsion of the scrotal organs. Journal of Urology 1998: 159(1): 13-16.  |
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